Provider Demographics
NPI:1669481628
Name:SALUP, RAOUL RADU (MD)
Entity Type:Individual
Prefix:
First Name:RAOUL
Middle Name:RADU
Last Name:SALUP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5016 W EVELYN DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3602
Mailing Address - Country:US
Mailing Address - Phone:813-288-8961
Mailing Address - Fax:813-286-7971
Practice Address - Street 1:13000 BRUCE B DOWNS BOULEVARD
Practice Address - Street 2:JAMES A. HALEY VETERANS HOSPITAL
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-978-5834
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME77535208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology